HEALTHY HABITS WELLNESS CTR, INC (NPI# 1659323665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659323665 |
| Entity Type | Organization |
| Organization Name | HEALTHY HABITS WELLNESS CTR, INC |
| Practice Address |
140 Stollings Ave Logan WV 25601-4011 |
| Mailing Address |
140 Stollings Ave Ste 3 Logan WV 25601-4035 |
| Practice Telephone | 3047524594 |
| Practice Fax Number | 3047525629 |
| Mailing Telephone | 3047524594 |
| Mailing Fax Number | 3047525629 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2010-07-08 |
| Authorized Official Name | JON M MILLER (PRESIDENT) |
| Authorized Official Telephone | 3047524594 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 785374 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810002671 | 05 |
| Street Address |
140 STOLLINGS AVE |
| City | LOGAN |
| State | WV |
| Zip Code | 25601-4011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093049983 | Amber Ellis | Nurse Practitioner | 140 Stollings Ave, Suite 3, Logan, WV 25601-4035 | 2009-09-24 |
| 1215195466 | Healthy Habits Wellness Center Lab | Clinical Medical Laboratory | 140 Stollings Ave, Ste 3, Logan, WV 25601-4035 | 2008-05-23 |
| 1932268067 | Judith Brendemuehl | Specialist | 140 Stollings Ave, Suite 5, Logan, WV 25601-4035 | 2006-12-06 |
| 1356370142 | Subhash Bhanot | Urology | 140 Stollings Ave, Suite 1, Logan, WV 25601-4035 | 2006-07-02 |
| 1376572172 | Subhash Bhanot, M.d., Inc | Urology | 140 Stollings Ave, Suite 1, Logan, WV 25601-4035 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| Find all providers in zip 25601 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841245339 | Jon M Miller | General Practice | 140 Stollings Ave Ste 3, Logan, WV 25601-4035 | 2006-05-23 |
| 1427522218 | Logan Mingo Area Mental Health | General Practice | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2019-01-15 |
| 1669708442 | Apogee Medical Group, West Virginia, Pllc | General Practice | 20 Hospital Dr, Logan, WV 25601-3452 | 2009-10-28 |
| 1942346390 | Dorval Donohoe | General Practice | Route 10, Three Mile Curve, Logan, WV 25601 | 2007-01-30 |
| 1801994827 | Hocking Valley Medical Group, Inc. | General Practice | 819 State Route 664 N, Suite A & B, Logan, OH 43138-8540 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747528 | Susan L Cavender M.d. Pllc | General Practice | 1115 Lee St E, Charleston, WV 25301-2412 | 2017-08-25 |
| 1396284428 | Chapmanville Primary Care Clinic | General Practice | 462 Main Street, Chapmanville, WV 25508 | 2017-02-22 |
| 1952855264 | Mountaineer Family Care Center | General Practice | 318 S Mountaineer Hwy, Thornton, WV 26440-7152 | 2016-08-04 |
| 1720433451 | Samir Shah | General Practice | 3005 Jackson Ave, Point Pleasant, WV 25550-1717 | 2016-05-02 |
| 1376958058 | Nadezda Samples | General Practice | 3110 Maccorkle Ave Se Rm 58, Charleston, WV 25304-1210 | 2014-06-21 |
| 1932476249 | William Palmer Zitter | General Practice | 1637 Mccoy Rd, Huntington, WV 25701-4867 | 2011-11-30 |
| 1174806129 | Steven Ira Richman | General Practice | Hc 74 Box 98i, Hinton, WV 25951-9115 | 2011-09-26 |
| 1467749473 | Jung Jin Lee | General Practice | 390 Birch St, Morgantown, WV 26505 | 2011-06-29 |
| 1184914947 | Todd R Myers Md LLC | General Practice | 1113 Washington St, Suite 203, Ravenswood, WV 26164-1020 | 2011-04-13 |
| 1295030674 | Capital Management Services Company | General Practice | 231 Capitol St, Suite 301, Charleston, WV 25301-2200 | 2011-01-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.